gaca_gov_sa · form · processed · 3 chunks
GACA الاعاده للطيران المدني General Authority of Civil Aviation [Non-Text] APPLICATION FORM FOR HELIPORT CONSULTANT ACCEPTANCE (GACAR PART 138) <table><tr><td colspan="4">PART I: SCOPE OF WORK</td></tr><tr><td>No.</td><td>Description(s)</td><td>Information to be filled by Applicant/Heliport Operator</td><td>Remarks</td></tr><tr><td>1</td><td>Name of Proposed Project Work</td><td></td><td></td></tr><tr><td>2</td><td>Type of Consultancy Work (Design or Supervisory Work)</td><td></td><td></td></tr><tr><td>3</td><td>Estimated Value of the Proposed Project Work</td><td></td><td></td></tr><tr><td>4</td><td>Estimated Time Schedule of Proposed Project Completion</td><td></td><td></td></tr></table> <table><tr><td colspan="4">PART II: DETAILS OF CONSULTANT</td></tr><tr><td>No.</td><td>Description(s)</td><td>Information to be filled by Applicant/Heliport Operator</td><td>Remarks</td></tr><tr><td>1</td><td>Name of Consultant Entity</td><td></td><td></td></tr><tr><td>2</td><td>Address(Saudi Arabia and Outside with contact details)</td><td></td><td></td></tr><tr><td>3</td><td>Type of FirmIndividual/JV/Government</td><td></td><td></td></tr><tr><td>4</td><td>Year of Establishment(Must have completed 5 yrs. of establishment on date of application)</td><td></td><td></td></tr><tr><td>5</td><td>Annual Gross Turnover (In SAR)(Attach Latest Annual Report)</td><td></td><td></td></tr></table> GACA-AVSES-AGA-F031 Rev: 3, Date: 25 Aug 25 Page 1 of 4 GACA Ganar Authority of Civil Aviation [Non-Text] APPLICATION FORM FOR HELIPORT CONSULTANT ACCEPTANCE (GACAR PART 138) <table><tr><td colspan="8">PART III: CONSULTANT ORGANIZATION INFRASTRUCTURE (Minimum Technical Manpower on Role)</td></tr><tr><td rowspan="2">No.</td><td rowspan="2">Work Positions (Position 1 Main Key Personnel)</td><td rowspan="2">Name of Position Holder (Attach CV)</td><td colspan="2">Qualifications</td><td colspan="2">Minimum Work Experience (10 Years)</td><td rowspan="2">Remarks</td></tr><tr><td>Basic (Graduation)</td><td>Highest (Higher than Graduation)</td><td>Similar Work (Min 7 Years)</td><td>Position Specific (Min 3 Years)</td></tr><tr><td>1</td><td>Project Director/ Project In-Charge</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td rowspan="2">No.</td><td rowspan="2">Work Positions (Position 2 to 8 are Key Personnel)</td><td rowspan="2">Name of Position Holder (Attach CV)</td><td colspan="2">Qualifications</td><td colspan="2">Minimum Work Experience (7 Years)</td><td rowspan="2">Remarks</td></tr><tr><td>Basic (Graduation)</td><td>Highest (Higher than Graduation)</td><td>Similar Work (Min 5 Years)</td><td>Position Specific (Min 2 Years)</td></tr><tr><td>2</td><td>Chief Architect/Planner</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>3</td><td>Chief Design Engineer</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>4</td><td>Civil Engr-In-charge</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>5</td><td>Electrical Engr-In-charge</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>6</td><td>Environment Manager</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>7</td><td>Quality Manager</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>8</td><td>Safety Manager</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>9</td><td>Other Personnel</td><td></td><td></td><td></td><td></td><td></td><td></td></tr></table> GACA-AVSES-AGA-F031 Rev: 3, Date: 25 Aug 25 Page 2 of 4 GACA Ganar Authority of Civil Aviation [Non-Text] APPLICATION FORM FOR HELIPORT CONSULTANT ACCEPTANCE (GACAR PART 138) PART IV: CONSULTANT TECHNICAL CAPABILITIES (Minimum 3 Works) <table><tr><td>No.</td><td colspan="2">Planning and Design Consultancy for Airports and Heliports Project Works(Value of each work must be more than 50 % of the proposed work estimated value – Ref para 1 (3)</td><td colspan="2">Description of Similar Works completed successfully by consultant in the last 5 years(Attach Copy of the Client Completion Certificate giving details of scope of work, completion cost and completion date)</td><td>Value of Work (in SAR)</td><td>Remarks</td></tr><tr><td rowspan="3">1</td><td rowspan="3">Planning and designing of airports such as Site Selection, Feasibility Study, Topographical Survey, Environmental study, wind data and orientation study, OLS Survey, Aeronautical Study and Detail Project Reports etc.</td><td>Work 1</td><td></td><td></td><td></td><td></td></tr><tr><td>Work 2</td><td></td><td></td><td></td><td></td></tr><tr><td>Work 3</td><td></td><td></td><td></td><td></td></tr><tr><td>No.</td><td colspan="2">Supervisory Consultancy for construction of Aerodrome Project Works(Value of each work must be more than 50 % of the proposed work estimated value – Ref para 1 (3)</td><td colspan="2">Description of Similar Works completed successfully by consultant in the last 5 years(Attach Copy of the Client Completion Certificate giving details of scope of work, completion cost and completion date)</td><td>Value of Work (in SAR)</td><td>Remarks</td></tr><tr><td rowspan="3">2</td><td rowspan="3" colspan="2">Planning Supervision and Project management of airports works including Runway, Taxiway, Apron, Heliports, Terminals, Associated buildings such as ATC, RFF Stations, Power Supply, Airfield Lighting Systems etc.</td><td>Work 1</td><td></td><td></td><td></td></tr><tr><td>Work 2</td><td></td><td></td><td></td></tr><tr><td>Work 3</td><td></td><td></td><td></td></tr></table> GACA-AVSES-AGA-F031 Rev: 3, Date: 25 Aug 25 Page 3 of 4 GACA الاعاده للطيران المدني General Authority of Civil Aviation APPLICATION FORM FOR HELIPORT CONSULTANT ACCEPTANCE (GACAR PART 138) <table><tr><td colspan="4">PART V: CONSULTANT WORK METHODS</td></tr><tr><td>No.</td><td>Description of Method of Works (As applicable)</td><td>Availability and Description of the Plans (Attach Copy)</td><td>Remarks</td></tr><tr><td>1</td><td>Planning and Designing or Supervision Plan, as applicable</td><td></td><td></td></tr><tr><td>2</td><td>Quality Control and Quality Assurance Plan</td><td></td><td></td></tr><tr><td>3</td><td>Safety Policy and Risk Management Plan</td><td></td><td></td></tr><tr><td>4</td><td>Security Management Plan</td><td></td><td></td></tr><tr><td>5</td><td>Project Scheduling Work Plan</td><td></td><td></td></tr></table> SIGNATURE OF APPLICANT OR AERODROME OPERATOR <table><tr><td colspan="3">I hereby certify that the forgoing information is correct in every respect and no relevant information has been withheld.</td></tr><tr><td>Name</td><td>Position</td><td>Phone</td></tr><tr><td></td><td></td><td></td></tr><tr><td>Email</td><td>Signature</td><td>Date</td></tr><tr><td></td><td></td><td></td></tr></table> GACA-AVSES-AGA-F031 Rev: 3, Date: 25 Aug 25 Page 4 of 4